IndividualActive
Stacey Perko, MSW, LCSW, SUDC
NPI 1679034516 · Mental Health Counselor · Provo, UT
Provider details
- NPI number
- 1679034516
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MSW, LCSW, SUDC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6086382-6005 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3507 N University Ave Ste 350
Provo, UT 84604-6602
Phone: (801) 842-8062
Street-level locationGet directions
Mailing address
5108 W Eagle Hill Cir
West Jordan, UT 84081-3989
Registry dates
- Enumerated
- 2019-03-25
- Last updated
- 2020-05-01
- Certified
- 2020-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.